I have written about the Cray computer technologies at CMS before and actually this is bigger fraud news than the release of all the doctor claim data, well that is except for the media as they want to do analytics and write data stories with “interviewing data bases”. Shoot we see technology replacing jobs all over the place and certainly hospitals would love to see these folks go as it makes for a lot of extra work when a properly configured CMS data appliance can make short work of it. Read further and see Mayo’s already using this technology as well.

The YarcData unit is helping the U.S. government detect fraud patterns in Medicare and Medicaid payments. Private sector customers include medical research group Mayo Clinic and several financial services, life sciences and telecommunications firms, which Cray cannot name for contractual reasons.

When you look at the numbers here with about half of the auditor payment denials being appealed and 72% work out in favor of the hospitals, it’s like is it time to ask “what we are doing here” as one questions a return on investment and if the Cray Yarcdata does this, well who needs the RACs? Perhaps a good question to ponder.

I don’t know how far along they are with the mobile interface but certainly we know the other side is working already as law enforcement agencies have made arrests already as the patterns identified with the data made potential fraud folks visible.

The American Hospital Association is pushing its members to lobby U.S. senators to pass a bill introduced last year that tweaks the way Medicare recovery audit contractors do business. Hospital executives will be descending on Capitol Hill on May 7 as part of an annual AHA-coordinated day with their local representatives and staffers to discuss the most pressing regulatory matters for hospitals. Chief among concerns detailed during a May 5 federal issues panel at the trade group's annual conference was what AHA sees as the increasingly burdensome behavior of RACs as they seek instances of Medicare overpayment.

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There's no arguing the fact that these days we depend on technology for much of our everyday lives. From the moment our phone alarm wakes us up in the morning to the moment we fall asleep watching a film on our iPad, we are connected to our technology in a wide variety of ways. But as technology takes a firm hold on our leisure time, what about our working lives?

Dark Arts of Mathemical Deception

Professor Charlie Siefe of NYU, a mathematician debunks clinical trials, and few other items to where data is spun and fools you, every day example, hear about the perfect butt algorithm and more. These are probably some things you have never thought about but again after listening to what he has to say, it’s time to think about being skeptical. Here’s a radio show that also talks about the same topics.

This video digs in a bit further with how fictitious business models are used by banks and companies do this too. The models are so complex that CEOs don’t even understand them. “Quants, The Alchemists of Wall Street will take you through how “math models” work at banks and financial institutions in a way that even the layman can understand. More videos like over at theAlgo Duping/Killer Algorithm Page. Bank of America will also tell you“IT’ is a business” how they make money.

Weapons of Math Destruction

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Algorithms Shape The World

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